0001378866-14-000004.txt : 20140814 0001378866-14-000004.hdr.sgml : 20140814 20140814162915 ACCESSION NUMBER: 0001378866-14-000004 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20140814 DATE AS OF CHANGE: 20140814 EFFECTIVENESS DATE: 20140814 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ADAGIO MEDICAL, INC. CENTRAL INDEX KEY: 0001573223 IRS NUMBER: 274590529 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-222964 FILM NUMBER: 141043346 BUSINESS ADDRESS: STREET 1: 26051 MERIT CIRCLE STREET 2: SUITE 102 CITY: LAGUNA HILLS STATE: CA ZIP: 92653 BUSINESS PHONE: 949-348-1188 MAIL ADDRESS: STREET 1: 26051 MERIT CIRCLE STREET 2: SUITE 102 CITY: LAGUNA HILLS STATE: CA ZIP: 92653 D 1 primary_doc.xml X0707 D LIVE 0001573223 ADAGIO MEDICAL, INC. 26051 MERIT CIRCLE SUITE 102 LAGUNA HILLS CA CALIFORNIA 92653 949-348-1188 DELAWARE None None Corporation true Hugh Neuharth 26051 Merit Circle Suite 102 Laguna Hills CA CALIFORNIA 92653 Executive Officer Olav Bergheim 26051 Merit Circle Suite 102 Laguna Hills CA CALIFORNIA 92653 Executive Officer Director Other Health Care Decline to Disclose 06b false 2014-07-30 false true true false 0 6000004 4137110 1862894 false 6 0 0 0 false ADAGIO MEDICAL, INC. /s/ Hugh Neuharth Hugh Neuharth CFO 2014-08-14